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Updated: Aug 15, 2026

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AHIMA CDIP Exam Overview:

Certification Vendor:AHIMA (American Health Information Management Association)
Exam Name:Certified Documentation Integrity Practitioner (CDIP®) Exam
Exam Number:CDIP
Exam Price:$259 (AHIMA members), $329 (non-members)
Exam Duration:180 minutes
Real Exam Qty:130–150 (106 scored, 34 pretest)
Exam Format:Multiple-choice, Computer-based, Scored + Pretest items
Passing Score:300 (scaled score)
Related Certifications:CCS
CCS-P
RHIT
RHIA
CHDA
CHPS
Certificate Validity Period:2 years
Available Languages:English
Recommended Training:Official CDIP Preparation Course
Exam Registration:AHIMA CDIP Application
Pearson VUE Scheduling
Sample Questions:AHIMA CDIP Sample Questions
Exam Way:Computer-based testing at Pearson VUE centers or remote proctored via OnVUE
Pre Condition:Meet one requirement: Associate's degree or higher; CAHIIM-approved HIM post-baccalaureate certificate; or hold active CCS, CCS-P, RHIT, or RHIA credential. Recommended: 2+ years CDI experience, coursework in medical terminology, anatomy, physiology, pathology, pharmacology
Official Syllabus URL:https://www.ahima.org/certification-careers/certification-exams/cdip/

AHIMA CDIP Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: CDI Metrics & Statistics14–18%- Query response and volume tracking
- DRG comparison and denial analysis
- Quality audits and compliance monitoring
- Benchmarking and reporting
Topic 2: Record Review & Document Clarification24–28%- POA, HAC, SOI, ROM clarification
- Ethical provider query development
- Identify documentation gaps and specificity issues
- Query tracking and follow-up
- Compliance with query standards
Topic 3: Research & Education11–15%- Provider and staff education
- Documentation improvement training materials
- Regulatory and guideline updates
- Best practice research and implementation
Topic 4: Leadership17–22%- Policy and procedure creation
- Interdisciplinary collaboration
- Provider engagement and communication
- CDI program development and promotion
Topic 5: Clinical Coding Practice22–26%- Payer requirements and reimbursement models
- ICD-10-CM/PCS coding conventions and guidelines
- Principal and secondary diagnosis identification
- Coding software and reference resources
- DRG, CPT, and HCPCS code assignment
Topic 6: Compliance4–8%- Legal and ethical documentation practices
- Fraud and abuse prevention
- AHIMA standards and regulatory requirements
- Compliance monitoring and reporting

AHIMA Certified Documentation Integrity Practitioner Sample Questions:

1. A 77-year-old male with chronic obstructive pulmonary disease (COPD) is admitted as an inpatient with severe shortness of breath. The patient is placed on oxygen at 2 liters per minute via nasal cannula. History reveals that the patient is on oxygen nightly at home. CXR is unremarkable. The most compliant query is

A) Patient has COPD and is on oxygen every night at home and has been on continuous oxygen since admission, please document chronic respiratory failure, hypoxia, acute on chronic respiratory failure.
B) Patient has COPD, and is on nocturnal oxygen at home and is on continuous oxygen since admission.
Please indicate if you are treating one of these diagnoses: chronic respiratory failure, acute respiratory failure, acute on chronic respiratory failure, unable to determine, other.
C) Patient has COPD, and is on nocturnal oxygen at home and is on continuous oxygen since admission.
Please order further tests so the patient's severity of illness can be captured with the most accurate coding assignment.
D) Patient has COPD and is on oxygen every night at home and has been on continuous oxygen since admission. Based on these indications, please document chronic respiratory failure, acute respiratory failure, acute on chronic respiratory failure.


2. Educating physicians on severity of illness and risk of mortality is best accomplished by utilizing

A) physician report cards
B) the DRG Expert
C) the case mix index
D) case studies


3. Which of these medical conditions would a clinical documentation integrity practitioner (CDIP) expect to be treated with Levophed?

A) Acute kidney failure
B) Septic shock
C) Acute respiratory failure
D) Multiple sclerosis


4. Review the following query to determine if it is compliant:
Dr. Jones, this patient had a sodium level of 126 on admission and was started on a 0.9% saline IV. Can you indicate what condition is being treated?
Dehydration
Hyponatremia
Hypernatremia
Chronic kidney disease (indicate stage)
Other (please specify)

A) Yes, query is compliant as it offers the minimum number of multiple-choice answers ..
B) No, query is noncompliant as one of the multiple-choice options is clinically irrelevant.
C) No, query is noncompliant as it does not provide the option of "unable to determine".
D) Yes, query is compliant as it provides clinical indicators and several options for response.


5. A hospital clinical documentation integrity (CDI) director suspects physicians are over-using electronic copy and paste in patient records, a practice that increases the risk of fraudulent insurance billings. A documentation integrity project may be needed. What is the first step the CDI director should take?

A) Bring together a team of physicians and informatics specialists
B) Alert senior leadership to the record documentation problem
C) Gather data on the incidence of inaccurate record documentation
D) Recommend the physicians to be involved in the project


Solutions:

Question # 1
Answer: B
Question # 2
Answer: D
Question # 3
Answer: B
Question # 4
Answer: B
Question # 5
Answer: C

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